# GUARDIAN HEADACHE AND PAIN MANAGEMENT INSTITUTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740674050
- **Authorized official:** BENJAMIN TAIMOORAZY M.D. (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (224) 231-4363

## Contact information

- **Practice address:** 3747 FRANKLIN AVE, SUITE 200, LONG BEACH, CA 90808-1334
- **Practice address phone:** (224) 231-4363
- **Mailing address:** PO BOX 570, LAKE FOREST, IL 60045-0570
- **Mailing address phone:** (224) 231-4363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 03/25/2015
- **Last updated:** 03/25/2015